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Search › Missouri › 207Q00000X

Om Sam, MD

NPI 1457845588 · on the registry since 2018

Practice

Address
965 Mattox Dr
Sullivan, MO 63080
Phone
(573) 860-6000
Organisation at this address
Parkcrest Orthopedics Llc
Midwest Acute Care Consultants Pc
Missouri Baptist Hospital Of Sullivan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Additional practice sites

  • 507 Main St, Johnson City, NY

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri